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Your IP : 3.144.25.130

Current Path : /proc/thread-self/root/var/www/html/oums/
Upload File :
Current File : //proc/thread-self/root/var/www/html/oums/work_entry_form_org.php

<div id="page-container-form" class="form-horizontal">
	<div id="lblpagemode" class="page_mode"></div>
	<input type="hidden" id="txtpagemode" readonly="readonly"/>
	<input type="hidden" id="txtworkcode" style="text-align:center; width:auto;"/>											
	<div class="form-group">
		<label for="" class="col-sm-2 control-label">Date</label>
		<div class="col-sm-2">
		<input type="text" class="form-control text-center text-uppercase" id="txtworkdate" maxlength="10"/>
		</div>
	</div>

	<div class="form-group">
		<label for="" class="col-sm-2 control-label">Work Name</label>
		<div class="col-sm-8">
		<input type="text" class="form-control" id="txtworkname" maxlength="50"/>
		</div>
	</div>

	<div class="form-group">
		<label for="" class="col-sm-2 control-label">Work Details</label>
		<div class="col-sm-8">
		<textarea id="txtworkdetl" class="form-control" rows="4"></textarea>
		</div>
	</div>

	<div class="form-group">
		<label for="" class="col-sm-2 control-label">Work Status</label>
		<div class="col-sm-3">
		<select id="txtworkstat" class="form-control">
		<option value="PENDING">PENDING</option>
		<option value="REPORTED">REPORTED</option>					
		<option value="COMPLETED">COMPLETED</option>
		<option value="DEFERRED">DEFERRED</option>						
		</select>
		</div>

	</div>

	<div class="form-group">
		<label for="" class="col-sm-2 control-label">Remarks (if any)</label>
		<div class="col-sm-8">
		<textarea id="txtworkremk" class="form-control" rows="3"></textarea>
		</div>
	</div>
</div>